NPIMap

Organization Active NPI

Norman I. Elloway D.D.S

  • Preferred Provider Organization
  • Novato, CA
National Provider Identifier
1306013495
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
D21984 Issued in CA
Legal business name
NORMAN I. ELLOWAY D.D.S
Practice address
1316 Grant Ave
Novato, CA 94945-3100
Phone
(415) 897-8338
Fax
(415) 897-4729
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Norman Ivan Elloway, D.D.SNPI 1265558332
Title
Dentist
Phone
(415) 897-8338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X D21984 CA Primary

Addresses

Primary practice location

1316 Grant Ave
Novato, CA 94945-3100

Mailing address

1316 Grant Ave
Novato, CA 94945-3100
Phone (415) 897-8338

National Provider Directory

National Provider Directory

Locations

1316 Grant Ave
Novato, CA 94945
Phone (415) 897-8338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1306013495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453100",
            "telephone_number": "415-897-8338",
            "fax_number": "415-897-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453100",
            "telephone_number": "415-897-8338",
            "fax_number": "415-897-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN I. ELLOWAY D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "ELLOWAY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "415-897-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "D21984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.